Utility of tibial tubercle osteotomy in the setting of periprosthetic infection after total knee arthroplasty.

International Orthopaedics
Ho-Rim ChoiYoung-Min Kwon

Abstract

This study reports radiographic and clinical treatment outcomes of tibial tubercle osteotomy (TTO) used for two-stage revision total knee arthroplasty (TKA) in the setting of periprosthetic infection. Thirty-six patients with 51 TTOs used for infected TKA were retrospectively analysed from 2000 to 2010. In 15 of 36 patients, TTO was used in a sequential manner during both first and second stage procedures. The mean follow-up period was 57 months (range seven-126 months). The mean pre-operative range of knee motion was 40° (range 10-90°), and at latest follow-up it was 92° (range 50-140°). The Knee Society knee scores and function scores were 47 and 9 pre-operatively and 82 and 72 at latest follow-up, respectively. Bony union was achieved in all cases except one nonunion of an avulsion fragment of the osteotomy segment without functional deterioration. TTO can be a useful extensile surgical approach for treatment of infected TKA with satisfactory clinical and radiographic outcomes.

References

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Citations

Nov 7, 2012·International Orthopaedics·Marc WishartMichael T Hirschmann
Jul 24, 2014·Archives of Orthopaedic and Trauma Surgery·Josep M SegurCarlos Acosta-Olivo
Oct 28, 2016·International Orthopaedics·Ahmed Salem EidTamer Abdelmeguid Mohamed Fayyad
Jan 4, 2013·Clinical Orthopaedics and Related Research·Danilo BruniMaurilio Marcacci
Jan 24, 2018·Archives of Orthopaedic and Trauma Surgery·Stefano DivanoLamberto Felli
Jun 24, 2020·World Journal of Orthopedics·Byron ChalidisPanagiotis Givissis

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